Health inspection·May 1, 2024

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure each resident had a right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 1 of 6 residents (Resident #1) reviewed for accommodation of needs. Residents Affected - Few Resident #1's call light was not within her reach. This failure could place residents at risk of not having their needs met and a decline in their quality of care and life. Findings include: Record review of Resident #1's face sheet, dated 05/01/2024, revealed that a [AGE] year-old female was admitted to the facility on [DATE] with diagnoses that included but not limited to Hemiplegia and Hemiparesis following unspecified cerebrovascular disease affecting left dominant side (weakness following a stroke), contracture of muscle-multiple sites, dysphagia (difficulty in swallowing), muscle wasting and atrophy, cognitive communication, gastro-esophageal reflux disease without esophagitis, shortness of breath, other abnormalities of gait and mobility, Record review of Resident #1's quarterly MDS, dated [DATE], revealed a BIMS score of 15 out of 15 which indicated Resident #1 was cognitively intact. Resident #1 required two-person staff assistance with bed mobility and dressing, total two-person staff dependence with chair/bed transfer, upper and lower body dressing, and personal hygiene. Resident #1 required full assistance with rolling from left to right. Record review of Resident #1's care plan, dated 05/01/2024, revealed, in part, [Resident #1] has a communication problem r/t hearing deficit, pain, respiratory impairment, stroke, weak or absent voice with interventions to ensure and provide a safe environment with call light in reach. Care plan also indicated that Resident #1 has ADL Self-care performance deficit r/t limited mobility with interventions for Resident #1 to use call light to call for assistance. During an observation and interview on 05/01/2024 at 10:01 AM Resident #1 was lying in her bed, her blanket was on top of her. Resident #1 asked the surveyor to get an aide because she needed her call light. Observation of the call light revealed it hanging on wall behind resident's head out of reach of the resident. During an observation and interview on 05/01/2024 at 10:05 AM, LVN A was asked to come to Resident #1's room as the resident was requesting help. LVN A asked Resident #1 what she needed, and Resident (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 675534 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 675534 B. Wing A. Building (X3) DATE SURVEY COMPLETED 05/01/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Wheeler Nursing & Rehabilitation 1000 S Kiowa St Wheeler, TX 79096 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)